Organization Active NPI

Jada Therapy PLLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Flagstaff, AZ
National Provider Identifier
1124772975
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
JADA THERAPY PLLC
Doing business as
A New Direction
Practice address
2724 E Lakin Dr Ste 7
Flagstaff, AZ 86004-3900
Phone
(928) 440-4786
NPI assigned
Feb 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Albaro J Rodriguez
Title
Program Director
Phone
(928) 440-4786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083A0300X Primary

Addresses

Primary practice location

2724 E Lakin Dr Ste 7
Flagstaff, AZ 86004-3900

Mailing address

2724 E Lakin Dr Ste 7
Flagstaff, AZ 86004-3900
Phone (928) 440-4786

Other names 1

  • A New Direction Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL practicefusion.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1124772975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 E LAKIN DR STE 7",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043900",
            "telephone_number": "928-440-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 E LAKIN DR STE 7",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043900",
            "telephone_number": "928-440-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADA THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ALBARO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "928-440-4786",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "practicefusion.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2724 E Lakin Dr Ste 7",
            "city": "Flagstaff",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "860043900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "A New Direction",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.